Individual provider Active NPI

Jeffrey Alex Swafford, OD

  • Optometrist
  • Hendersonville, NC
National Provider Identifier
1144330242
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2740 Issued in NC
Practice address
1401 Haywood Rd
Hendersonville, NC 28791-2335
Phone
(828) 693-5205
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009067 IL
Optometrist 152W00000X 2740 NC Primary

Addresses

Primary practice location

1401 Haywood Rd
Hendersonville, NC 28791-2335

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

1475 Dilleys Rd
Gurnee, IL 60031
Phone (847) 856-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040428001162 IL Practitioner - Optometry 6002803301 Reassigns benefits to 1 organization
I20230511001168 NC Practitioner - Optometry 6002803301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

1401 Haywood Rd
Hendersonville, NC 28791-2335
Phone (828) 693-5205

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2740NCMDAddiction (Substance Use Disorder) Counselor
046009067ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 26, 2021 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Apr 26, 2021 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 1, 2023 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

146 Center St
Ste 200
Grayslake, IL 60030
Phone (773) 736-6800

1475 N Dilleys Rd
Ste 4
Gurnee, IL 60031
Phone (847) 856-3939

312 Tri State Pkwy
Ste 100
Gurnee, IL 60031
Phone (847) 623-3937

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

875 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (847) 325-4440

10 Peaks Center Ln
#70
Asheville, NC 28805
Phone (828) 255-8961

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1401 Haywood Rd
Hendersonvlle, NC 28791
Phone (828) 693-5205

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1144330242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HAYWOOD RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287912335",
            "telephone_number": "828-693-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 Dilleys Rd",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "60031",
            "country_code": "US",
            "telephone_number": "847-856-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAFFORD",
        "first_name": "JEFFREY",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009067",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.